Individual
DR. CRAIGH KEITH BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
(678) 312-3282
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3273
(678) 312-3282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
221294
NY
208M00000X
Hospitalist Physician
Primary
97672
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02170818
—
NY
01
—
1391S1
EMPIRE BLUE CROSS SHEILD
NY
01
—
2528854
UNITED HEALTH
NY
01
—
2589956
GHI
NY
01
—
8577911
CIGNA
NY
01
—
NY221294
1199 SEIU
NY
01
—
P3482897
OXFORD
NY
Enumeration date
09/14/2006
Last updated
11/30/2023
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